A. L. Gerbes, C. Mel Wilcox, Miguel Munoz-navas's Ascites Hyponatremia and Hepatorenal Syndrome: Progress in PDF

By A. L. Gerbes, C. Mel Wilcox, Miguel Munoz-navas

ISBN-10: 3805595913

ISBN-13: 9783805595919

Ascites is the main widespread and hepatorenal syndrome the main deadly hassle in liver cirrhosis. in recent times, significant development has been made concerning potent remedy of those issues, hence lowering mortality in sufferers. This booklet highlights and significantly appraises fresh achievements and novel advances, and even as offers the history had to seize novel thoughts. subject matters handled contain issues of paracentesis, the suitable collection of plasma expanders, and choice of sufferers who will adventure survival reap the benefits of transjugular intrahepatic portosystemic shunt. Hepatorenal syndrome, nevertheless, is liable for a large spectrum of manifestations as a result of acute kidney damage, which until eventually lately used to be thought of a deadly . medicines to enhance renal functionality and delay survival are for that reason additionally mentioned, together with vital concerns for medical final result that are nonetheless less than debate. in addition, the function of mixed kidney-liver transplantation as opposed to traditional liver-only transplantation is addressed, in addition to using vaptans in hyponatremia and their debatable position within the therapy of ascites. popular specialists percentage their wisdom and services and supply a global point of view. Their contributions comprise up to date references and a bullet-point precis, making this book most useful for practitioners, clinicians and scientists within the box.

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Extra info for Ascites Hyponatremia and Hepatorenal Syndrome: Progress in Treatment

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New York, Raven Press, 1985, pp 2127–2162. 18 Planas R, Arroyo V, Rimola A, Pérez-Ayuso RM, Rodés J: Acetylsalicylic acid suppresses the renal hemodynamic effect and reduces the diuretic action of furosemide in cirrhosis with ascites. Gastroenterology 1983;84:247–252. 19 Pinzani M, Daskalopoulos G, Laffi G, Gentilini P, Zipser RD: Altered furosemide pharmacokinetics in chronic alcoholic liver disease with ascites contributes to diuretic resistance. Gastroenterology 1987; 92:294–298. 20 Sawhney VK, Gregory PB, Swezey SE, Blaschke TF: Furosemide disposition in cirrhotic patients.

15 Hou W, Sanyal AJ: Ascites: diagnosis and management. Med Clin North Am 2009;93:801–817, vii. 16 Ochs A, Rossle M, Haag K, et al: The transjugular intrahepatic portosystemic stent-shunt procedure for refractory ascites. N Engl J Med 1995;332:1192– 1197. 17 Salerno F, Camma C, Enea M, Rossle M, Wong F: Transjugular intrahepatic portosystemic shunt for refractory ascites: a meta-analysis of individual patient data. Gastroenterology 2007;133:825–834. 18 Sanyal AJ, Genning C, Reddy KR, et al: The North American Study for the Treatment of Refractory Ascites.

3% of the cases and overflow of ascitic fluid from the puncture site in 5% of the cases. 6% included 2 patients with major hematoma, 3 cases with intraperitoneal bleeding and 3 cases with infectious complications. 6% of the cases which included repeating the puncture due to flow interruption, repositioning of the catheter, and no ascites at the first attempt. Major complications were significantly associated with therapeutic procedures. In this study, a plastic sheath was used which could have accounted for the increased rate of complications [11].

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Ascites Hyponatremia and Hepatorenal Syndrome: Progress in Treatment by A. L. Gerbes, C. Mel Wilcox, Miguel Munoz-navas


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